Nora Springs Care Center
907 W Congress · Nora Springs, IA · 50458 · 6417495331
50 certified beds For profit - Limited Liability company Chain: Legacy Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Cleaner inspection record than most facilities nationally.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.40 | 0.55–0.75 |
| Weekend hours / resident-day | 3.04 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (9 in the current record)
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Potential for harm · D April 14, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 16, 2026 · Resident Rights
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Potential for harm · D April 14, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 16, 2026 · Pharmacy Service
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Potential for harm · D January 8, 2026 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected January 15, 2026 · Nursing and Physician Services
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Potential for harm · D November 18, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 3, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 4, 2024 · Nutrition and Dietary
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Potential for harm · D May 18, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 18, 2023 · Resident Rights
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Potential for harm · D May 18, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 18, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 18, 2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected June 18, 2023 · Pharmacy Service
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Potential for harm · D May 18, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 18, 2023 · Nutrition and Dietary
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165347 · certified since September 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.